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1962978866
KAITLYN E BOGARDUS
ROSEBURG, OR
NPI
1962978866
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Former Name
KAITLYN E HANE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA190326)
Enumeration Date
2018-10-17
Last Update Date
2019-06-10
Business Address
KAITLYN E BOGARDUS PA-C
2570 NW EDENBOWER BLVD STE 100
ROSEBURG, OR 97471-6214
Phone number: 541-677-7200
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Mailing Address
KAITLYN E BOGARDUS PA-C
2570 NW EDENBOWER BLVD STE 100
ROSEBURG, OR 97471-6214
Phone number: 541-677-7200
Copy
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